QHP Index

KP HI Gold 0/40 Plus CAM

Gold · HMO · Kaiser Permanente · Hawaii

At age 40 it costs $602.69 a month before any subsidy.

What CMS publishes about it

Plan ID60612HI0110007
InsurerKaiser Permanente
Metal levelGold
Plan typeHMO
Deductible (individual)$0
Deductible (family)$0
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$8,900
Family maximum$17,800
Primary care visit$40
Specialist visit$70
Emergency room$400
Inpatient stay30%
Generic drugs$10
Preferred brand drugs$60
Specialty drugs$200
Adult dental includedNo
Child dental includedNo
Share of premium buying essential health benefits99.31%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-800-570-8004 · TTY 1-877-447-5990

Where it is sold, and what it costs there

5 counties. The premium is the price before any tax credit; what you pay depends on your income.

CountyAt 21At 30At 40At 50At 60
Hawaii County $471.59$535.25 $602.69$842.26 $1,279.90
Honolulu County $471.59$535.25 $602.69$842.26 $1,279.90
Kalawao County $471.59$535.25 $602.69$842.26 $1,279.90
Kauai County $471.59$535.25 $602.69$842.26 $1,279.90
Maui County $471.59$535.25 $602.69$842.26 $1,279.90

Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.

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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.